20 20 OPTOMETRY SERVICES, PC
NPI 1063933430
Optometrist in Ridgewood, NY

Q: What is 20 20 Optometry Services, PC's NPI number?

The NPI number for 20 20 Optometry Services, PC is 1063933430. It was assigned to this organization in the NPPES registry on July 6, 2017.

Q: What is 20 20 Optometry Services, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 06, 2017

6240 FOREST AVE, RIDGEWOOD, NY 11385(718) 418-0300(718) 418-0301 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2017, Sep 19, 2017, Jul 6, 2017 (3 updates tracked since 2017).

On this page

About 20 20 Optometry Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

20 20 OPTOMETRY SERVICES, PC (NPI 1063933430) is a healthcare organization registered as an optometrist in Ridgewood, New York and active in the NPI registry since July 2017. The organization lists Elizabeth Yusupov, Od, as its authorized official.

NPPES Registry Identity

NPI1063933430

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business Name20 20 OPTOMETRY SERVICES, PC

Location Address6240 FOREST AVERidgewood, NY 11385-1929

Mailing Address10231 65th RdForest Hills, NY 11375-1740 · (718) 418-0300 · Fax (718) 418-0301

Phone(718) 418-0300

Fax(718) 418-0301

Organization SubpartNo

Authorized OfficialElizabeth YusupovOd · (718) 418-0300

Enumeration DateJuly 6, 2017

Last NPPES UpdateNovember 3, 20173 updates tracked since enumeration

✔ NPI 1063933430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · 008499

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

6240 FOREST AVE, Ridgewood, NY 11385

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

20 20 Optometry Services, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 20 20 Optometry Services, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Yusupov, O.D.

Optometry

NPI 1437502911

3130 GRAND CONCOURSE STE 1J
Bronx, NY 10458

(718) 741-3200

✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 20 20 Optometry Services, PC's NPI number?

The NPI number for 20 20 Optometry Services, PC is 1063933430. It was assigned to this organization in the NPPES registry on July 6, 2017.

Where is 20 20 Optometry Services, PC located?

20 20 Optometry Services, PC is located at 6240 Forest Ave, Ridgewood, NY 11385. The listed phone number is (718) 418-0300.

What is 20 20 Optometry Services, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is 20 20 Optometry Services, PC enrolled in Medicare?

Yes. 20 20 Optometry Services, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 20 20 Optometry Services, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to 20 20 Optometry Services, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 20 20 Optometry Services, PC was last updated on November 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.